Individual
CORENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP
Contact information
Practice address
27023 164TH AVE SE, COVINGTON, WA 98042-8241
(253) 639-7146
Mailing address
216 PIKE ST SE, AUBURN, WA 98002-5829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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